A 33-year-old lady presents with polydipsia and polyuria. Her symptoms started soon after a road traffic accident 6 months ago. The blood pressure is 120/80 mm Hg with no postural drop. The daily urinary output is 6-8 litres. Investigation showed, Na 130 mEq/L, K.3.5 mEq/L, urea 15mgAIL, sugar-65 mg/dL. The plasma osmolality is 268 mosmoUL and urine osmolality 45 mosmol/L. The most likely diagnosis is –
Correct Answer: Psychogenic polydipsia
Description: First lets go through the normal values of the indices required to solve this question
Serum Sodium (Na) → 136-145 meq/L
Serum Potassium → 3.5-5.0 meq/L
Serum Osmolality → 285-295 mmol/kg
Serum Urea → 10-20 mg/dL 350
Urine Osmolality → 350 -1000 mosmol/kg.
Let's see the values in the patient
- Serum sodium → decreased
- Serum Osmolality → decreased
- Urine Osmolality → decreased
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